Healthcare Provider Details

I. General information

NPI: 1578978482
Provider Name (Legal Business Name): GRANE HOSPICE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2014
Last Update Date: 10/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 PLYMOUTH RD STE D
YORK PA
17402-3864
US

IV. Provider business mailing address

260 ALPHA DR SUITE 300-YRK
PITTSBURGH PA
15238-2906
US

V. Phone/Fax

Practice location:
  • Phone: 717-840-3259
  • Fax: 717-840-3278
Mailing address:
  • Phone: 412-963-9150
  • Fax: 412-963-6676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number05360501
License Number StatePA

VIII. Authorized Official

Name: MR. HERBERT HENNELL
Title or Position: VICE PRESIDENT OF REIMBURSEMENT
Credential:
Phone: 412-963-9150